Mammograms

Today, Doug Pike interviews Dr. Claudia Cotes about testing for breast cancer.  

Episode Transcript

(00:01):
Remember what it was impossible to misplacethe TV remote because you were the TV
remote. Remember when music sounded likethis? You? Remember when social media
was truly social? Hey, Don, how's it going today? Well,
this show is all about you.This is fifty plus with Doug Pike,

(00:27):
helpful information on your finances, goodhealth, and what to do for fun.
Fifty plus brought to you by theUT Health Houston Institute on Aging Informed
Decisions for a healthier, happier lifeand by Texas Indoor Air Quality Specialists because
clean air is healthier air. Andnow fifty plus with Doug Pike. All

(00:50):
right two Today edition of the programstarts now. Thank you very much for
listening. I greatly do appreciate it, as does Will, who is sitting
like five six feet away from mesocial distancing. If we cared anymore,
we would be pretty much covered.I think six feet is not that far
really anyway, thanks for listening.About one hundred minutes ago, in case

(01:12):
you haven't heard yet, what isthat dust doing all over this console?
There? And there's Nut's coming toyou? Will? About one hundred minutes
ago, Hunter Biden was found guiltyon all three felony charges he faced during
his nine day trial, two countsof making false statements on federal firearms forms

(01:37):
if you don't mind the alliteration,and one count of possessing a firearm while
either I think the word they usein there is either unqualified or an addict,
So in other words, that there'sany reason at all why you shouldn't
be in possession of gun, itshould be covered under that that statute.

(01:57):
The maximum penalty he faced, Ibelieve, if I remember reading correctly,
would be twenty five years. Andthese are federal charges, so that would
be federal prison twenty five years,and finds up to not a chance seven
hundred and fifty thousand dollars. Buthe is who he is, and things

(02:27):
are as they are, and we'lljust have to wait and see how that
turns out. Our president did saya couple of days ago that he would
accept the jury's verdict and he wouldnot pardon his son. And I bet,
I bet Hunter's been on the phoneto Joe more than once in the

(02:49):
last hour and a half. Comeon, Dad, come on, come
on, you know you know anyway, we'll see how that turns out.
And I am quite curious. Oh, I have another a little piece here
that I wanted to kind of throwinto that where was it? Just one
second, I'll find it. Itwon't take long either, and if not,

(03:13):
I'll just do it from memory.So one thing that happened, I'm
gonna have to do it for memorybecause I don't see it where I'm looking
for it. Bottom line is therewas hue and cry that this was.
I know I'll get to it ina little while because it goes off in

(03:35):
the weeds and I don't want todo that time. For the weather,
your I got a name for itnow, will all right? Your haiku?
Highs and lows? All right?That hit me with? Is it?
Is it getting better and better?Yeah? Okay? What do I
need? Five? Seven? Five? Right? Yep? Showers late today,

(03:57):
same song through early Thursday. Andhot so so hot? Well all
right, one to ten that's sixbetter than five. Yeah, okay,
I'm working on it. I amyesterday much hotter. I don't. I'm

(04:17):
not even gonna bother with a highcoup after yesterday. I played golf yesterday
with my buddy Rob Logan, andwe were actually we were contestants in a
two person better ball tournament up atGolf Club of Houston, just a day
after Live Golf packed up and left. Actually they hadn't packed up at all.

(04:38):
I bet there were I bet therewere one hundred and fifty people out
there working to dismantle all that LivedGolf brought. Well, yeah they were.
They were just like ants devouring somethinghuge that had fallen in their laps,
and one by one, the chairswere being dismantled, the hospitality pavilions,

(04:58):
all of these things. As we, the the fortunate ones who got
to play in this tournament, madeour way around and ask me where Robin
I finished? Will first, Wow, we won the tournament. Uh,
we got some uh what do youcall it? Pro shop credit and a

(05:21):
significant amount too. There were alot of people there. We all had
a good time, and Rob andI it's it's the it's the perfect scenario
for one of these tournaments where somebody'swhole score has to be counted, and
that there were there were prizes forgross and net, and we won the
net division, which is the onewhere you get your handicap strokes and everybody

(05:44):
puts in legit fair handicaps, whichwe did, and what made it work
for us we only won by oneshot and then third place was only one
shot behind that. So it wasa very tightly contested event. And what
happened to make it work is thatevery time I was having a really bad
hole, Rob kind of came through, and every time Rob was having a

(06:05):
bad hole, I came through,and so we ended up doing pretty well.
We ended up doing pretty well.Well, congratulations. I just just
thought i'd drop that in. Iknow, you don't care. Off to
market. Oh no, wait,we have another we have another weather point
of interest. It's not and thisis not going to be done in haiku.

(06:26):
This will just be done in normal, normal work. There's a yellow
X in the eastern Gulf of Mexico. Did you notice that this morning or
do you even look? No,Well, it's a it's a little it's
hopefully going to be insignificant. AndI hate to just broad brush anything that
has gotten the National Hurricane Center's attention, but the chances of development forty eight

(06:51):
hours, zero chances in a weekonly twenty percent. And on top of
that, in the next day orso, it is anticipated to move eastward
to northeastward, right across across Floridaand out into the Atlantic Ocean, hopefully
where hopefully it'll just fall apart overFlorida. That's my that's my fingers crossed.

(07:14):
Wish off to market, we go. Nothing catastrophic to talk about.
Dow was down half a point,rustled down three quarters of a point,
but that's about it. Oil justnorth of seventy eight bucks and continuing north.
Last. I looked just as itjust as we thought it would come
down some you way a little closerto the election. It'll come down about
thirty forty cents. I bet andgold, Thank you, Houston gooldexchange dot

(07:36):
com. Gold up the cost ofa candy bar at two thousand, three
hundred and twenty nine dollars in change. Not candy bars don't cost that much.
That's how much it's up. Justa couple of bucks. But still
upward is better than downward for theprice of gold and twenty three hundred and
twenty nine bucks, buy a lotof candy bars. All right, we'll

(07:57):
take a little break here. Onthe way out, I'll tell you about
Texas home By. This is thecompany that for thirty plus years has been
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(08:41):
for a same day cash offer forthe home or property that you want
to sell. For whatever reasons.Maybe there's been a death in the family,
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the reason, Texas Home Buyers isgonna buy that home of yours right here,
right now, and the closings usuallyare done within a couple of weeks.

(09:03):
You have your money in two weeksseven, one, three, six,
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you want to learn more, yougot flooded, you got tree damp,
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Radio Saturday afternoons at three on KPRC. Now, they sure don't make them

(09:28):
like they used to. That's whyevery few months we wash them. Check
his fluids and spring on a freshcode of wax. This is fifty plus
with Doug Pike. All right,second segment of the program starts right now.

(09:50):
Thank you all for listening. Icertainly do appreciate it. On this
so far, so good Tuesday.There is rain in the forecast. As
I mentioned in haikup, highs andlows. I like this. It's got
a nice ring to it. Willuh, thanks for sharing your lunchat.
We're talking this segment about the importancein older women of regular mammograms and to

(10:11):
help I'm going to bring in doctorClaudia Coat's, assistant professor at mc Governor
Medical School and chief of breast Imagingat Memorial Herman Hell System in the medicenter.
Welcome board, doctor, Thank youso much for having me. Oh
my pleasure. So what is thecurrent starting age for mammograms? And when?
As a follow up, I feellike I'm in a White House press

(10:33):
conference, when is it, ifit is ever okay for a woman to
stop getting them? Well, thecurrent recommendations, and I'm basing this based
on the American culture of Radiology andSociety of Breast Imaging. We recommend women
to start screening mammograms at age fortyOkay, Well, for when to end
the mammograms, it's pretty human,you know. If we think a woman

(10:56):
has a life expectancy of ten yearsor more, this woman should be getting
her mamograms. If a woman isseventy eighties and she's in good health,
we should definitely keep doing mamograms forsure. Yeah, there's no reason to
stop, I guess. And atthat age I would imagine that Medicaid or
Medicare covers them, right right,absolutely, yes. And the important thing

(11:18):
about it that if you think aboutbreast cancer, it gets more the older
we get, So why stop doingit. The chances of having breast cancer
are higher than when you're in yourforty talk about you talk about the well
you just kind of mentioned the mostI guess the most important benefit is that
if there are more and more casesbeing diagnosed later, if you're not getting

(11:41):
them, you're just really playing Russianroulette with your health, aren't you.
Absolutely So, what's going to happenis if we do a screening mamogram,
and the reason we do it isthat we're going to be able to find
the cancer when it's smaller and easierto treat if you think about it,
if we're going to wait for thecancer to be palpable the woman. So
let's say you're seventy five and youfeel a lump into your breast. This

(12:03):
cancer could have been found when youwere seventy and it was very small at
the time, easier to treat,probably less spread in the body. So
there's really no need to delay itor try not to do it, or
wait only until you have any symptomsin your breast, because at that time
it might be a little bit toolate and the treatment might be a little
bit more complicated. Doctor Claudia cooatson fifty plus backing up to women in

(12:24):
their fifties and sixties and a womanwho hasn't been getting regular mammograms, and
you kind of mentioned this just asecond ago. What signs or symptoms would
warrant getting an appointment made and gettingchecked out right away. Well, the
most common thing we would feel thatpeople kind of like correlate with breast cancer.

(12:45):
It's a lump, right, Soif you feel a lump or a
math in your breast, that's asufficient reason to go see your doctor and
request a mammogram. But there areother symptoms that you might have as well.
For example, if you have brainpain in an area of the breath
Fifi's spot in the breast that doesn'tgo away. It's always there and it's
been there for a long time.That's not something that you see commonly in
the remily. The pain kind ofcomes and goes, so if you see

(13:09):
it being only on one spot,it weren't additional checkup. Nipple discharge,
additionally, is something that people shouldbe taken care of, but not when
you can press the nipple. Butif you see any bloody or clear discharge
coming from your nipple, that's thereason that you might want to go to
see the doctor. Other things thatmay not be as common, for example,
if the is increasing in size ordecreasing in size, or your skin

(13:31):
has a different appearance like being redor dimpled, or sometimes we call it
like orange peel skin. It justlooks like dimpled. That's something you should
definitely be looking into. I'm guessingdoctor Coates that a lot of women who
get mammograms just walk in, theyget it over with. They don't want
to be there, so they getout and go home and just wait for
the results. I'm guessing also thatthere are some pretty good questions they could

(13:54):
be asking about their breast health whilethey're in a clinical arena and while they're
in front of people who can probablyanswer those questions. What are they absolutely
yes, So many questions that sidsusually ask is how often should I get
the mamogram? Should I come inevery year? Should I get it every
two years? We recommend to haveit every single year. Another question that

(14:18):
they may ask that I think it'simportant for patients to know it's what's the
density of my breast? And thatis an important question because the answer the
breast is the less sensitive the mammogramis good, so the less ability for
us to see findings in the breastright. So it's important for the patients
to know this, and we actuallyare required by law in manistates to send

(14:39):
a letter to the patients telling themwhat traity is because in those cases they
might need additional imaging, for exampleon ultrasound to supplement the mammogram. Still
the best we have the mamogram,but the ultratume might help a little bit
more. So that's another important questionto ask. And then also ask when
should I get the results and whatshould I do? If the mamogram so

(15:01):
something abnormal, so that they havean idea of what the next step would
be. What are the next steps? Years ago, it would have been
like, uh, oh you've gotcancer and it's spread pretty far and we're
just gonna have to do a messdectomy. There are a lot of steps
in between there for treatment protocols now, aren't there? Yes, So basically
what's going to happen. We're gonnacall patients back when we see anything abnormal

(15:22):
in the breast, or if wesee a change from the previous years,
which I think that patients also shouldknow that looking into their previous mamogram and
comparing to the current one is veryimportant for us. So if we see
a change, it doesn't necessarily meanthere is a cancer. Right. There
are many good things that can showup in the breast, but when we
see something we have to work itup, and that might be doing additional

(15:46):
pictures of that area in the breastspecifically, and then it usually translated into
having an ultrasound as well to seethe tissue in a different way and see
if we can actually say what thatshadow that we see in the mammogram is.
So there's a lot of steps.A percentage of the patients that we
call back would be the biops orjust some tissue sampling to actually know what

(16:06):
it is. Although we're radiologists,we see changes, we don't have microscopic
icient to say what it is forsure, right So in those cases we'll
have to take this sample of tissueand with that we're going to get a
diagnosis that in some cases maybe benign. Some cases might just say this pasion
is at a higher risk and weneed to do a smaller surgery, or
for other patients might be that theyhave cancer and they will need a more

(16:30):
comprehensive treatment. I think the bottomline I would imagine, because we're kind
of right out of time right here. Early detection. The earlier you find
anything wrong with your body, especiallybreast cancer, the faster you can you
can get out of that trouble withoutmajor issue. Thank you so much,
doctor Coates. You're very welcome betterchances with early detection. We're going to

(16:52):
leave it at that, all right. I have got to take a break.
Thank you, doctor Coates once again. And wow, that's I don't
know why, And speaking as aguy who hates to go to doctors,
I understand, I get it,but I'm getting better as I get older,
and I hope that everybody who heardthis and is at risk certainly would

(17:12):
go and get checked out. Justonce a year. That's all you got
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(18:18):
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(19:03):
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(19:29):
plus with Dougpike Hi, welcome back. Third segment of the program starts right
now. Thank you all for listeningto Lunch Hour. I do appreciate it.
Bring some friends next time. Ialways ask you to do that.

(19:53):
I'm finding more and more I'm findingsome of the listeners to this show and
my outdoor show on the weekends arequite literally all over the country. The
Outdoor Show on Saturday mornings actually getsa fair amount of listenership on the East
Coast because it starts an hour later. It doesn't start in the middle of
the night like some shows do.Mine starts at seven am here on Saturday

(20:18):
and eight on Sunday and goes toten o'clock both days in the morning.
So I'm not going to take yourentire day, but wherever you are,
winter I actually got a guy inCalifornia last week too, which means that
Saturday show starts at five in themorning for him. I don't know if
he's catching the whole thing, maybenot, but nonetheless, he called and
we talked and it was fun,so on to some of the good stuff.

(20:41):
I guess it didn't often outside ofour own country that a country does
something just incredibly outrageous and foolish,especially in the medical field. However,
the Canadian Cancer Society did something thatI feel just hell to bring up.
They have apologized to the transgender communitythere and to appease those Canadians, henceforth

(21:10):
are going to drop the word cervixin reference to that part of the female
reproductive system and instead it's going tohenceforth throughout the great land of the Maple,
it's going to be called Are youready for this one? It's the

(21:32):
front hole. The front hole,that's it. That's what they want to
call the cervix. Now. Reactionamong Canadian women has been predictably and justifiably
harsh. One of the calmer ones, one of the kinder ones, move
called the move idiocrasy, and theWomen's Committee for the Youth wing of the

(21:55):
People's Party of Canada called to changeboth ridiculous objectifying, calling for its members
to reject this and similar infiltrations ofgender ideology into its national institutions. It
just makes no sense to to changewhat are you going to have? Front

(22:18):
hole cancer? Does that? Doesthat? That's just that's messed up,
And in every every facet of everyletter in both those oh what yeah,
just both those words. It justmakes no sense to use that now.
That would become a medical term upthere, and it sounds like something you'd

(22:38):
see scribble scribbled on a bathroom wall. By the way, I saw a
story about AI and how several biggercompanies, including some of the social media
platforms, are kind of hanging theirhats on this, and it dawned on
me that they are all in onAI, and as I pointed out,

(23:00):
WILL, the abbreviation for both wouldbe AI. They are AI for AI
like that will or does it justnot do nothing? This? It does
not do nothing. It does nothingfor me, Doug, I thought that
was rather clever, a little bit, just a little not at all,
zero flat line. Yeah, he'snot even responding. I see, I

(23:21):
get it. In a recently releasednews clip, I found this very interesting,
Nancy Pelosi took this is all theway back from January sixth, I
think it was or the seventh,or the eighth, or somewhere shortly thereafter.
Pelosi took responsibility for the chaos ofJanuary sixth on Capitol Hill. This

(23:41):
is the same Nancy Pelosi who thenspent twenty million taxpayer dollars laying the blame
on President Trump. She is rightthere in audio. It's her fault.
She says. She takes full responsibilityfor what happened. But then when when
it came time to be accountable,she pointed the finger at somebody else.

(24:03):
Because after all, as I've saidso many times since I ever the first
time I heard this saying this piece, so long as you're pointing at somebody
else, nobody's looking at you.President Trump did his pre sentencing interview with
New York's Probation Department virtually from amirror lago, well from not a mirilago,

(24:26):
from the mar Lago, a prettybig place, and with his lawyer
President and in the most staggeringly justconfusing response to anything that ever happened anywhere,
the left jumps up and says,hey, he can't do that.
He can't do that. Most mostcriminals in New York don't get to do
that. They have to appear inperson without counsel, because after all,

(24:51):
this is that's how justice worked.Well, most of the lawyers at this
that were interviewed for the story sayno, it actually it kind of goes
that way sometimes. But then theleft through in the through in the oh
my goodness, two tier justice system. Yeah you talk about the hmm yeah,

(25:12):
the hey boy, they're fine onesto talk on that. I've got
to take a break, last breakof the program. When we get back,
I've got several more things I needto go over, and some of
them will be lighter than others.Kirk Holmes. If you are considering a
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(25:33):
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(27:04):
And of course women never get old. If you want to avoid sleeping
on the couch, oh, Ithink that sounds like a good plan.
Fifty plus continues here's more with DougWelcome back fifty plus on KPRC. Thank

(27:37):
you for listening. You don't haveto be fifty to listen. You're gonna
be forty nine. You canna befifty one. You can be thirty nine,
you can be sixty one, youcan be any age you want to
be, just as long as you'rea good person, and you like helping
out people who are a little bitolder than you, because maybe it's your
mom or your dad, or youraunt or your uncle, or just a

(27:59):
neighbor who might need some help.And if you listen to this show long
enough, it shouldn't take too long. You'll learn some things about health of
seniors. You'll learn some things aboutthings that are going on in the world,
and just some interesting fun stuff aswell. And I don't know how
to I don't know what to callthis, well, creepy news, bizarre

(28:22):
news. Over in Indonesia, aforty five year old woman was swallowed hole
this past week by a sixteen footpie thon. You didn't hear about that?
No where are you getting your newcracker Jack bos? It was everywhere,
will where? Everywhere that I look. I saw it in three different

(28:47):
sources, actually two of them fromlisteners. Actually I get I have sources.
Will I have good sources too forweird bizarre news. Indonesia, by
the way, home to some ofthe world's largest snakes, obviously them in
the Florida Everglades. Largest ever recordedof the species was more than thirty feet

(29:07):
long. Picture that snake a firstdown worth a snake and weighed two hundred
and fifty pounds plus. I guessit's kind of hard to find a scale
that can weigh a live, sick, thirty foot snake. That's this room.
Might be fourteen feet wide, mightbe maybe sixteen What do you think

(29:33):
leave that snake alone? I knowthey didn't leave it alone. Should a?
That's what that movie in a Condais based on, is it will?
Yeah? That story? Oh they'reseeing into the future? Were they?
Okay? Did you know? Thisis a fun fact to know and
tell? I did not know it. What did Lamborghini make? Will?

(29:57):
Before? Before they made awesome cars, they made not awesome cars, just
so so cars. No, Lamborghiniwas a name much more familiar, not

(30:17):
to road racers but to farmers,tractors. They made well yeah, captain
obvious, well done, boy,tax sharp you are today? You're on
top of your game? Will,Yes, you are. M I talked
about that at the end of theshow last week. Let's get back over

(30:38):
to the more current stuff. TheEuropean Union. These guys, what is
wrong with these people? They havean idea? Now, this is from
a Fox News story that broke yesterday. The European Union has announced plans to
force not just American companies, butcompanies around the world to dive in headfirst

(30:59):
into its due diligence laws, whichin our country we call it DEI rules
and regulations. Any company that's goingto be doing business in the EU and
any of its suppliers or shippers orotherwise affiliates anywhere in the world, doesn't
matter where they are in the supplychain for this company, they also have

(31:22):
to play by the same rules thatalready already in this world have cost some
really big companies billions of dollars inbacklash and product abandonment. That's bud light.
EU says, either follow our rulesor you can expect enormous fines.

(31:45):
I don't know all those companies.Here's the part that really would I think
should scare every corporate boardroom. Thatand this is only for giant company,
pretty big companies, like half abillion dollar annually companies. But nonetheless those
companies, if they don't play bythe EU's rules, they can be sued

(32:07):
by activists and their organizations. Andif you're wondering what our president is doing
about this and telling the European Unionafter it announced these plans. The answer
is nothing, absolutely nothing. It'sjust capitulation to extremists, the loudest getting

(32:31):
the most play in the most run. Unfortunately, Florida, will or Michigan
or New York, Florida, Michiganor New York and by Almayst. Tell
me when I have one minute left, because I got Louisiana and it's gonna
take that minute. So many statestoday, I know it's a theme.

(32:52):
All right, let's do Michigan.It's somehow made news that at least got
to me on one of my feedsthat a single peacock up in Michigan not
only was loose, but it wasit was grabbed onto and corralled somehow by

(33:12):
a high school student who thought itwas a great idea for him to take
that bird to school and see ifanybody recognized it amongst I'm sure all the
other peacocks in Michigan. And whilstat school it got away, an animal
control caught it and then it gotaway again. Let it be free,

(33:37):
slippery bird. Well, you know, if you're standing there, I'm sure
that most Michiganders would now there,I'm sure they can toughen up when a
Canada. Goose starts hawking at them. But man, a peacock jump up
and start scratching your face with thosefeet of his and pecking your eyes with

(33:58):
a beak of his. Got away, still on the lamb, by the
way, And this is this isa bird that is kind of runs wild
out in Where did the lamb comefrom? The what you said it was
on the lamb? Oh? Well, oh well, no, I love
the lamb alone. Come on,okay, well we got forty five seconds.

(34:22):
Let's do all right. Fisherman Louisiana. This is on the Creepy News
Desk. From the Creepy News Desk, a fisherman in Louisiana hooked a human
skull padlocked to an exercise dumbbell recently. Feel free to write your own punchlines
and forward them by email or bydialing pound two fifty and saying the keyword

(34:42):
fifty plus. If I get anygood ones, I'll read them tomorrow,
you know I will. I can'thelp myself, and you can't use the
first thing that came to my weirdmind, which is any reference, any
reference whatsoever to what will a humanskull caught by an angler? No references

(35:04):
I'm waiting to bonefish. We'll beback tomorrow